全盆底重建术与传统阴式修补术治疗重度盆腔器官脱垂的近期疗效观察

The Short-term Effect of Total Pelvic Floor Reconstruction and Traditional Transvaginal Repair on Severe Pelvic Organ Prolapse

目的:比较全盆底重建术与传统阴式修补术治疗重度盆腔器官脱垂的近期疗效及安全性。方法:选择符合标准的患者80例,随机分为观察组和对照组各40例,观察组采用全盆底重建术,对照组采用传统阴式修补术,比较手术效果。结果:观察组手术时间、术中出血量及术后留置尿管时间、住院天数及残余尿量均优于对照组,差异有统计学意义(P<0.05)。术前两组PFDI-20评分相似,差异无统计学意义(P>0.05);术后6个月两组PFDI-20评分较术前均下降(P>0.05),但是观察组下降幅度更大,差异有统计学意义(P<0.05)。术后6个月观察组客观治愈39例、对照组客观治愈34例,差异有统计学意义(P<0.05)。观察组术后3例出现并发症,对照组5例,差异无统计学意义(P>0.05)。结论:全盆底重建术治疗重度盆腔器官脱垂手术创伤小,能更好地重建盆底结构,恢复盆底功能,近期治愈率高。

Objective： To compare the safety and short-term therapeutic effect of total pelvic floor reconstruction and traditional transvaginal repair in treatment of severe pelvic organ prolapse. Method ： 80 eligible patients were selected and randomly divided into observation group and control group, 40 patients in each group. The observation group used total pelvie floor reconstruction, while the control group used traditional transvaginal repair, and the surgery effect were compared. Result： The operative intra-operativeblood loss, postoperative urethral catheter intubation time, hospital day and residual urine volume of the observation group were all better than those of the control group, and the differences were statistically significant （ P〈0.05 ）. The preoperative PFDI-20 scores of the two groups were similar, and the difference was statistically insignificant （P〉0.05 ） ; 6 months after the surgeries, the PFDI-20 scores of both groups were decreased when compared with those before the surgeries （ P〉0.05 ）, but the decrease extent of the observation group was greater, and the difference was statistically significant （ P〈0.05 ）. in 6 months after the surgeries, 39 patients in observation group were cured, while 34 patients of the control group were cured, and the difference was statistically significant （ P〈0.05 ）. 3 patients in observation group suffered from postoperative complications, 5 patients suffered in control group, and the difference was statistically insignificant （ P〉0. 05） .Conclusion： Total pelvic floor reconstruction in treatment of severe pelvic organ prolapse causes small operation wound, can rebuild pelvic floor construction and recover pelvic floor function better, and has a higher short-term cure rate.